ABSTRACT
Siblings share a unique bond across the lifespan. When a sibling sustains an acquired brain injury (ABI), the injured person, their siblings and family are impacted. The relationship siblings had changes in unpredictable and unexpected ways. Interventions or support programmes for families impacted by ABI are rare, and few focus on the sibling relationship. To support the sibling relationship, uninjured siblings need to be given space within the context of their sibling's recovery. Longer term, uninjured siblings may also need a safe space within the family environment which addresses their individual needs. However, the sibling relationship is bi-directional and both siblings with an ABI and uninjured siblings need to be supported to maintain reciprocity within the relationship. Interventions providing education about ABI and its impact, skills training such as increasing problem-solving skills, and counselling and psychological support will assist siblings and families impacted by ABI. Support groups and peer support may also assist by providing practical and emotional support, and allowing siblings and families to feel less isolated and more hopeful for the future. Community interventions to address misperceptions of ABI outcomes and recovery are needed to address the stigmatisation of ABI and its negative impact on siblings.
